Department of Pulmonary and Critical Care Medicine, Research Unit of Respiratory Disease, Hunan Diagnosis and Treatment Center of Respiratory Disease, the Second Xiangya Hospital, Central South University, Changsha, China.
Department of Cell biology, School of Life Science, Central South University, Changsha, China.
Hereditas. 2023 Nov 18;160(1):37. doi: 10.1186/s41065-023-00299-4.
Interstitial lung diseases (ILDs), or diffuse pulmonary lung disease, are a subset of lung diseases that primarily affect lung alveoli and the space around interstitial tissue and bronchioles. It clinically manifests as progressive dyspnea, and patients often exhibit a varied decrease in pulmonary diffusion function. Recently, variants in telomere biology-related genes have been identified as genetic lesions of ILDs. Here, we enrolled 82 patients with interstitial pneumonia from 2017 to 2021 in our hospital to explore the candidate gene mutations of these patients via whole-exome sequencing. After data filtering, a novel heterozygous mutation (NM_025099: p.Gly131Arg) of CTC1 was identified in two affected family members. As a component of CST (CTC1-STN1-TEN1) complex, CTC1 is responsible for maintaining telomeric structure integrity and has also been identified as a candidate gene for IPF, a special kind of chronic ILD with insidious onset. Simultaneously, real-time PCR revealed that two affected family members presented with short telomere lengths, which further confirmed the effect of the mutation in the CTC1 gene. Our study not only expanded the mutation spectrum of CTC1 and provided epidemiological data on ILDs caused by CTC1 mutations but also further confirmed the relationship between heterozygous mutations in CTC1 and ILDs, which may further contribute to understanding the mechanisms underlying ILDs.
间质性肺疾病(ILDs)或弥漫性肺疾病是一组主要影响肺泡和间质组织及细支气管周围空间的肺部疾病。它在临床上表现为进行性呼吸困难,患者常表现出不同程度的肺扩散功能下降。最近,端粒生物学相关基因的变异被确定为 ILD 的遗传病变。在这里,我们招募了 2017 年至 2021 年我院 82 名间质性肺炎患者,通过全外显子组测序探索这些患者的候选基因突变。经过数据过滤,在两名受影响的家庭成员中发现了 CTC1 的一种新的杂合突变(NM_025099:p.Gly131Arg)。作为 CST(CTC1-STN1-TEN1)复合物的组成部分,CTC1 负责维持端粒结构的完整性,也被确定为 IPF 的候选基因,IPF 是一种具有隐匿性发病的特殊慢性 ILD。同时,实时 PCR 显示两名受影响的家庭成员的端粒长度较短,进一步证实了 CTC1 基因突变的影响。我们的研究不仅扩展了 CTC1 的突变谱,并为 CTC1 突变引起的 ILD 提供了流行病学数据,还进一步证实了 CTC1 杂合突变与 ILD 之间的关系,这可能有助于进一步了解 ILD 的发病机制。
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